| NPI | 1982690947 |
|---|---|
| Former Name | DIANE K LOOMIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02683) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |